Rodney Lee Davis Jr., LADC, LSW, LPC, PSYA
NPI 1891414918ActiveIndividual· Psychologist· Waterbury, CT
Psychologist (LADC, LSW, LPC, PSYA) in Waterbury, Connecticut, licensed in CA, CT and NJ, with an NPI issued in August 2022. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1891414918 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC, LSW, LPC, PSYA |
| Sole proprietor | No |
| NPI issued | Aug 23, 2022 |
| Last updated in NPPES | Apr 7, 2026 |
| Certified by provider | Apr 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSB94029549 | CA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1216 | CT |
| Counselor, Professional | 101YP2500X | 46.008556 | CT |
| Social Worker | 104100000X | 44SL07335300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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